Provider Demographics
NPI:1245363001
Name:QUIDDINGTON, PATRICIA JACQUELINE (MA)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JACQUELINE
Last Name:QUIDDINGTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:JACQUELINE
Other - Last Name:POINSARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:12 LINCOLN PL
Mailing Address - Street 2:APT. # 4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3583
Mailing Address - Country:US
Mailing Address - Phone:718-230-4908
Mailing Address - Fax:
Practice Address - Street 1:199 JAY ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1907
Practice Address - Country:US
Practice Address - Phone:718-488-0100
Practice Address - Fax:718-488-0129
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program